1. Home
  2. Directory
  3. Georgia
  4. Quitman
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

PRESBYTERIAN HOME, INC.
NPI 1336139070
Nursing Facility/Intermediate Care Facility in Quitman, GA

Active since October 25, 2005CLIA 11D0265685 · Waiver
1901 W SCREVEN ST, QUITMAN, GA 31643(229) 263-6100(229) 263-6195 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Dec 8, 2020 (2 updates tracked since 2020).

About Presbyterian Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESBYTERIAN HOME, INC. (NPI 1336139070) is a healthcare organization registered as a nursing facility/intermediate care facility in Quitman, Georgia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dianne Arrendale, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336139070
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePRESBYTERIAN HOME, QUITMAN, INC.
Location Address1901 W SCREVEN STQuitman, GA 31643-3913
Mailing AddressPo Box 407Quitman, GA 31643-3913 · (229) 263-6100 · Fax (229) 263-6151
Phone(229) 263-6100
Fax(229) 263-6195
Organization SubpartNo
Authorized OfficialDianne ArrendaleCfo · (229) 263-6193
Enumeration DateOctober 25, 2005
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1336139070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1901 W SCREVEN ST, Quitman, GA 31643
Open in Google Maps ↗

Other Names 1

Doing Business AsPresbyterian Home, Inc.

Other Identifiers 1

Medicaid00142579AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0265685

Presbyterian Home Inc · Quitman, GA
Active · expires Aug 31, 2026
CLIA Number11D0265685
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorB Walter Romine MD
Laboratory Phone(912) 263-6100
Laboratory LocationPresbyterian Home Inc1901 West Screven St, Quitman, GA 31643
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY BETH WHITCOMBE FREEMAN COTA
Occupational Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 469-8074
DORIAN H. JORDAN COTA/L
Occupational Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6100
MRS. LINDA LAFAYE WALKER RPH
Pharmacist
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6130
MICHAEL WILLIAM HARRELL PTA
Physical Therapy Assistant
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6100
AUBREY ANDREWS
Physical Medicine & Rehabilitation
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6100
JENNIFER H HIGHTOWER PHYSICAL THERAPIST
Physical Therapist
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 469-8074
PRESBYTERIAN HOME PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6130
RYAN HUDSON PT, DPT
Physical Therapist
1901 W SCREVEN ST
QUITMAN, GA 31643
Brooks County (229) 263-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presbyterian Home, Quitman, Inc.'s NPI number?

The NPI number for Presbyterian Home, Quitman, Inc. is 1336139070. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as Presbyterian Home, Inc..

Where is Presbyterian Home, Quitman, Inc. located?

Presbyterian Home, Quitman, Inc. is located at 1901 W Screven St, Quitman, GA 31643. The listed phone number is (229) 263-6100.

What is Presbyterian Home, Quitman, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Presbyterian Home, Quitman, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0265685) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Home, Quitman, Inc. was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.